Moore, Lisa

Moore, Lisa is an individual health care provider with primary practice located at 12055 W 2Nd Pl , Lakewood CO 80228-1506. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Moore, Lisa can be contacted via phone (303) 432-5409.

Contact Information

Primary practice address
12055 W 2Nd Pl Lakewood CO 80228-1506
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 0162078 Colorado

Profile Details

NPI number 1144637596
LBN Legal business name Moore, Lisa
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2014
Last updated Jul 17th, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144637596 NPPES
Colorado MEDICAID 2807127

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